Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department

PLEASE FILL OUT THIS APPLICATION, PRINT AND MAIL TO:
598 E. Christine Road, Nottingham, PA  19362
or COPY and EMAIL TO: euphoria@spasalon.com

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

Position applied for    Date of application
Last Name First Name Middle
Street Address
City/State/Zip  
Telephone Other phone   Social Security
If you are under 18, and it is required, can you furnish a work permit?           Yes     No 
If no, please explain  
Have you ever been employed here before?                                                Yes     No 
Are you legally eligible for employment in this country?                               Yes     No 
Date available for work 
Type of employment desired: Full-Time Part-Time Temporary Seasonal Educational Co-op
Are you able to meet the attendance requirements of the position?              Yes     No 
Have you been convicted of a crime in the last seven (7) years:                   Yes     No 
If yes, please explain    
Conviction will NOT necessarily be a bar to employment. Each instance and explanation will be considered in relation to the position for which you are applying.
Driver's License number if driving is an essential job function     State

Employment History
Provide the following information for your past four (4) employers, assignments or volunteer activities, starting with the most recent.

From        To
Employer  Telephone
Address  
Job Title   Immediate Supervisor & Title
Summarize the Nature of Work Performed and Job Responsibilities:

Hourly Rate / Salary:  Start $ Per        Final $ Per
_________________________________________________________________________________________________________

From        To
Employer  Telephone
Address  
Job Title   Immediate Supervisor & Title
Summarize the Nature of Work Performed and Job Responsibilities:

Hourly Rate / Salary:  Start $ Per        Final $ Per
_________________________________________________________________________________________________________

From        To
Employer  Telephone
Address  
Job Title   Immediate Supervisor & Title
Summarize the Nature of Work Performed and Job Responsibilities:

Hourly Rate / Salary:  Start $ Per        Final $ Per
_________________________________________________________________________________________________________

From        To
Employer  Telephone
Address  
Job Title   Immediate Supervisor & Title
Summarize the Nature of Work Performed and Job Responsibilities:

Hourly Rate / Salary:  Start $ Per        Final $ Per
_________________________________________________________________________________________________________

Skills and Qualifications
Summarize any training, skills, licenses, and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.

Educational Background (if job related)
High School Name and Location
Years completed Did you graduate? Yes     No 
Courses of study

College Name and Location
Years completed Did you graduate? Yes     No    Major Degree
Courses of study

Other  Name and Location
Years completed Did you graduate? Yes     No   
Courses of study

References
Name
Telephone Years Known

Name
Telephone Years Known

Name
Telephone Years Known

I UNDERSTAND THAT IF I AM EMPLOYED, ANY MISREPRESENTATION OR MATERIAL OMISSION MADE BY ME ON THIS APPLICATION WILL BE SUFFICIENT CAUSE FOR CANCELLATION OF THIS APPLICATION AND/OR IMMEDIATE  DISCHARGE FROM THE EMPLOYER'S SERVICE, WHENEVER IT IS DISCOVERED.

I GIVE THE EMPLOYER THE RIGHT TO CONTACT AND OBTAIN INFORMATION FROM ALL REFERENCES, EMPLOYERS, EDUCATIONAL INSTITUTIONS AND TO OTHERWISE VERIFY THE ACCURACY OF THE INFORMATION CONTAINED IN THIS APPLICATION. I HEREBY RELEASE FROM LIABILITY THE EMPLOYER AND ITS REPRESENTATIVES FOR SEEKING, GATHERING AND USING SUCH INFORMATION AND ALL OTHER PERSONS, CORPORATIONS OR ORGANIZATIONS FOR FURNISHING SUCH INFORMATION.

THE EMPLOYER DOES NOT UNLAWFULLY DISCRIMINATE IN EMPLOYMENT AND NO QUESTION ON THIS APPLICATION IS USED FOR THE PURPOSE OF LIMITING OR EXCUSING ANY APPLICANT FROM CONSIDERATION FOR EMPLOYMENT ON A BASIS PROHIBITED BY LOCAL, STATE OR FEDERAL LAW.

THIS APPLICATION IS CURRENT FOR ONLY 60 DAYS AT THE CONCLUSION OF THIS TIME IF I HAVE NOT HEARD FROM THE EMPLOYER AND STILL WISH TO BE CONSIDERED FOR EMPLOYMENT IT WILL BE NECESSARY TO FILL OUT A NEW APPLICATION.

IF I AM HIRED, I UNDERSTAND THAT I AM FREE TO RESIGN AT ANY TIME, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE. AND THE EMPLOYER RESERVES THE SAME RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE EXCEPT AS MAY BE REQUIRED BY LAW. THIS APPLICATION DOES NOT CONSTITUTE AN AGREEMENT OR CONTRACT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OR DEFINITE DURATION. I UNDERSTAND THAT NO REPRESENTATIVE OF THE EMPLOYER OTHER THAN AN AUTHORIZED OFFICER, HAS THE AUTHORITY TO  MAKE ANY ASSURANCES TO THE CONTRARY. I FURTHER UNDERSTAND THAT ANY SUCH ASSURANCES MUST BE IN WRITING AND SIGNED BY AN AUTHORIZED OFFICER.

I UNDERSTAND IT IS THIS COMPANY'S POLICY NOT TO REFUSE TO HIRE A QUALIFIED INDIVIDUAL WITH A DISABILITY BECAUSE OF THAT PERSON'S NEED FOR A REASONABLE ACCOMMODATION AS REQUIRED BY THE ADA.

I ALSO UNDERSTAND THAT IF I AM HIRED I WILL BE REQUIRED TO PROVIDE PROOF OF IDENTIFY AND LEGAL WORK AUTHORIZATION.

I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.

Signature of application Date